QSN/SGM-MV/VII/2026:524
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : TOMMY KRISTIAN QQ AJAT SUDRAJAT
as owner and / or its associated and / or its subsidiary and / or inter related companies
for their respective rights and interests
Area : 3 Selain Area 1 dan 2
Period : 26 Juli 2026 to 26 Juli 2027
Territorial limit : For Business and Private used
License plate : G 1931 UQ
Year : 2021
Brand/Model : MITSUBISHI PAJERO SPORT 2.4L DAKAR
Sum Insured : Rp 410.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 100.000.000 in Any One Accident
Premium :
Comprehensive 1.14% =
Rp. 4.674.000
Flood (Banjir) 0.075% =
Rp. 307.500
RSMDCC (Huru-Hara) 0.05% =
Rp. 205.000
Third Party Liability (TJH Pihak ke 3) IDR 100.000.000 =
Rp. 500.000
=
Rp. 5.686.500
Discount 20% =
Rp. 1.137.300
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.611.200


Deductible :

Comprehensive Rp. 300.000 in any one accident
RSMDCC, TSFWD, Earthquake and TS are 10% of claim or min Rp. 500.000 in any one accident
CTL and Stolen are 5% of sum insured

 
Security : Avrist


Disetujui Oleh, Jakarta, 14 Agustus 2026





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